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TAMARA WALLACE
NPI 1205471232
Day Training/Habilitation Specialist in Wasilla, AK

Active since November 13, 2019
1401 S SEWARD MERIDIAN PKWY STE ABC, WASILLA, AK 99654(907) 631-3520 Get Directions Write a Review

NPPES record last updated: November 13, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tamara Wallace NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TAMARA WALLACE (NPI 1205471232) is an individual day training/habilitation specialist in Wasilla, Alaska and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1205471232
Entity TypeIndividualFemale
Primary Taxonomy373H00000X
Provider Legal NameTAMARA WALLACE
Location Address1401 S SEWARD MERIDIAN PKWY STE ABCWasilla, AK 99654-8312
Mailing Address1401 S Seward Meridian Pkwy Ste AbcWasilla, AK 99654-8312 · (907) 631-3520
Phone(907) 631-3520
Sole ProprietorNo
Enumeration DateNovember 13, 2019
✔ NPI 1205471232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers
Taxonomy Code373H00000X
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
1401 S SEWARD MERIDIAN PKWY STE ABC, Wasilla, AK 99654
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Other Identifiers 1

Medicaid123456789AK

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DESARAE KLING
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY STE ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 205-8473
JESSICA IVORY SIMASKO
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY STE ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-3520
TERRI HOAG
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY STE ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-3520
DAMON SYLVA
Case Manager/Care Coordinator
1401 S SEWARD MERIDIAN PKWY STE ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-3520
BRANDY LUCERO
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY STE ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-3520
BENJAMIN HANSEN
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY STE ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-5826
MELISSA DANIELS
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY STE ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 631-3520
MAKAYLA RASMUSSEN
Day Training/Habilitation Specialist
1401 S SEWARD MERIDIAN PKWY STE ABC
WASILLA, AK 99654
Matanuska-Susitna Borough (907) 929-8265

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tamara Wallace's NPI number?

The NPI number for Tamara Wallace is 1205471232. It was assigned to this individual provider in the NPPES registry on November 13, 2019.

Where is Tamara Wallace located?

Tamara Wallace practices at 1401 S Seward Meridian Pkwy Ste Abc, Wasilla, AK 99654. The listed phone number is (907) 631-3520.

What is Tamara Wallace's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Tamara Wallace was last updated on November 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.